"You see this was never an information technology initiative and it should never have been given to an information technology company," Cramer explained.

"It was a customer relations management project and if there's a real issue here with Sibelius and her crew it was not recognizing that this whole website was about the client, the citizen of the United States, and not the health care system at all."

Had Cramer been tasked with rolling out Heathcare.gov, he would have developed the following plan.

"I would have given this entire contract to Salesforce.com and told CEO Marc Benioff to make sure customers got all the help necessary to figure out how to choose the right plan," Cramer explained.

From there, Cramer would have assembled an all-star team of American companies to drive the initiative. "I would have hired Google to answer queries, Apple to develop the app and Amazon to deliver – anything that needed to be delivered."

And for the implementation, Cramer would have hired Athenahealth or Cerner, companies with a superb medical records background.